Heart failure & cardiomyopathies

Vasodilation, loop diuretics, or their combination in acute heart failure: Rationale and design of the randomized placebo-controlled DECONGEST-AHF trial

Am Heart JPublished pragmatic, multicenter, randomized, double-blinded, placebo-controlled trial

Study context

Population
Patients with suspected acute heart failure included no later than 3 hours after emergency department arrival, with acute dyspnea, clinical signs of congestion, oxygen saturation <94% or need for oxygen therapy, and systolic blood pressure ≥100 mmHgplanned enrollment
Participants
1,041 patients
Planned comparison
intravenous furosemide, intravenous isosorbide dinitrate, or both as initial in-hospital treatment
Primary endpoint
days alive and outside of the hospital
Follow-up
30 days
Methodological detailsrationale and design, 5 Danish hospitals, emergency consent procedures
  • Rationale and design
  • 5 Danish hospitals
  • Emergency consent procedures

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Vasodilation, loop diuretics, or their combination in acute heart failure: Rationale and design of the randomized placebo-controlled DECONGEST-AHF trial. Am Heart J. Published 25 April 2026. doi:10.1016/j.ahj.2026.107461

Summarised from the published abstract; every number is checked against it

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